Organization
WILDFLOWER LACTATION AND POSTPARTUM SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ELLEN WATERS IBCLC (SINGLE MEMBER)
(541) 645-3018
Entity
Organization
Contact information
Practice address
3220 SW 1ST AVE STE 150, PORTLAND, OR 97239-4600
(503) 755-8328
(503) 506-0676
Mailing address
3220 SW 1ST AVE STE 150, PORTLAND, OR 97239-4600
(503) 755-8328
(503) 506-0676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
174N00000X
Lactation Consultant (Non-RN)
—
—
175F00000X
Naturopath
—
—
176B00000X
Midwife
—
—
374J00000X
Doula
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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